Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Long-term result of combined surgery in an elderly patient with assessment of psychophysiological reserve and quality of life after operation

Authors: Nikitina T.G., Pelekh D.M., Gulyan K.S., Fadeev A.A., Scopin I.I.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2022-19-1-70-81

UDC: 616-089.168.2

Link: Clinical Physiology of Blood Circulaiton. 2022; 1 (19): 70-81

Quote as: Nikitina T.G., Pelekh D.M., Gulyan K.S., Fadeev A.A., Scopin I.I. Long-term result of combined surgery in an elderly patient with assessment of psychophysiological reserve and quality of life after operation. Clinical Physiology of Circulation. 2022; 19 (1): 70–81 (in Russ.). DOI: 10.24022/1814-6910-2022-19-1-70-81

Received / Accepted:  06.12.2021 / 01.02.2022

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Abstract

Patient S., 83 years old, in 2003 in the Department of Cardiology of Acquired Heart Diseases of the Bakoulev Center underwent surgical correction of a congenital mitral valve defect – mitral valve insufficiency + coronary artery bypass grafting (on the day of operation patient is 64 years old) against the background of severe heart failure – functional class (FC) IV according to New York Heart Association (NYHA). For 18 years the patient has been monitored at the polyclinic of the Bakoulev Center, the correction of drug therapy was repeatedly carried out according to the results of echocardiographic, Holter ECG and laboratory data. In 2013 and 2018 percutaneous coronary interventions – stenting of the anterior interventricular artery was performed. During this period, the patient is in stage II FC according to NYHA, the patient maintains a good quality of life in terms of physical and psychological components of health, the patient is not frail (Edmonton Physiological Reserve Scale), continues working, remains high level of comorbidity (Charlson Comorbidity Index).

About Authors

  • Tat’yana G. Nikitina, Dr. Med. Sci., Professor, Head of Department of Cardiosurgery of Acquired Heart Diseases; ORCID
  • Dmitriy M. Pelekh, Cand. Med. Sci., Researcher, Cardiologist; ORCID
  • Knar S. Gulyan, Cand. Med. Sci., Researcher, Cardiologist; ORCID
  • Aleksandr A. Fadeev, Cand. Tech. Sci., Head of Laboratory for the Application of Polymers in Cardiovascular Surgery; ORCID
  • Ivan I. Skopin, Dr. Med. Sci., Professor, Head of Department of Reconstructive Surgery of Heart Valves and Coronary Arteries; ORCID

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